RN Dialysis

Overview The Dialysis RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others in the acute care dialysis unit. This nursing position will provide and oversee the provision of specific care to assigned patients throughout the shift, consistent with the scope of RN licensure. Responsibilities Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and work instructions and within laws and regulations governing nursing practice in the State of Oregon. Recognizes and intervenes appropriately with the subtleties of hemodynamics in the dialysis patient. Demonstrates an understanding of the pathophysiology of the renal failure patient. Uses equipment properly and consistently demonstrates the ability to operate specific instruments within the guidelines and standards set forth by the manufacturer and work instructions specific to the dialysis equipment (Hemodialysis/CRRT/plasmapheresis/peritoneal dialysis including CAPD and CCPD). Demonstrates the ability to access/de-access dialysis catheters/fistulas/grafts. Provides the needed specific education to patients and families which ensures follow through with the out-patient treatment plan. Assesses the patient’s condition and needs using critical thinking and clinical judgment. Sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Provides and maintains a safe environment for caregivers, patients and guests. Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies. Demonstrates awareness of and supports St. Charles Health System’s departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promote professional growth and development of self and others. Communicates (both written and oral) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implements solution(s) (within scope of practice), when appropriate. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Performs stand by call as assigned. Varies by department. May perform additional duties of similar complexity within the organization, as required or assigned. Education Required : As required by licensure. Preferred : BSN. Licensure/Certification/Registration Required : Current Oregon RN license. AHA Basic Life Support for Healthcare Provider certification. ACLS. Preferred : Peritoneal Dialysis Certification. CDN. CNN. Experience Required : Minimum of one (1) year current hemodialysis as RN within the last 5 years. Preferred : Acute Care hemodialysis, aphaeresis, and peritoneal dialysis experience. Current knowledge/skill in the concepts and care of the renal failure patient. #J-18808-Ljbffr St. Charles Health System